
<div class="contentPages">
    <div id="form-header" class="size92 form-gray-stripe">
        <h1>Adicionar novo Aluno</h1>
        <img src="general/images/addAluno.png" width="60" height="60" alt="Novo Aluno"/>
    </div>
    
    <div class="container"></div>
    
    <form name="addAluno" class="formStyle size92 form-gray" id="addFunc" action="#" method="post" enctype="multipart/form-data">
        <div class="field_inline">
            <fieldset class="fieldset-none">
               <div class="colunms">
                 <div class="colunm1 size70">
                   <div class="block">
                       <label class="size40"><span class="full">Matrícula  </span>
                           <input type="test" name="matricula" id="matricula" value="{MATRICULA}" class="size98" disabled="desabled" />
                       </label>
                   </div>   
                     
                     <label class="full"><span class="full">Nome: <em class="form-req">*</em> </span>
                         <input type="text" name="nome" value="{NOME}" class="size90" />
                     </label>
                <div class="block full">

                <label class="medium"><span class="full">CPF <em class="form-req">*</em> </span>
                    <input type="text" name="cpf" value="{CPF}" class="size60 cpf" placeholder="000.000.000-00" />
                </label>
                <label class="medium-1"><span class="full">Identidade <em class="form-req">*</em> </span>
                    <input type="text" name="identidade" value="{IDENTIDADE}" class="size60" />
                </label>
                </div>
                <div class="block full">
                    <label class="size35"><span class="full">Telefone <em class="form-req">*</em> </span>
                        <input type="text" name="telefone" value="{TELEFONE}" class="telefone size60" placeholder="(00) 0000-0000" />
                    </label>
                    <label class="size35"><span class="full">Celular  </span>
                        <input type="text" name="celular" value="{CELULAR}" class="telefone size60" placeholder="(00) 0000-0000" />
                    </label>
                </div>   
                 </div><!-- colunm1-->
 
                 <div class="colunm2 size29 center">
                  <img src="{FOTO}" class="size60"  alt="sem imagem"/>                    

		<div class="inputFile">
			<span class="text">Selecione um arquivo</span>

			<input type="file" name="foto" id="foto" />
		</div> 
                 </div><!-- colunm2-->
              </div><!-- colunm-->
              <div class="block">
                  <label class="full"><span class="full">E-mail  </span>
                      <input type="text" name="email" value="{EMAIL}" class="size80" />
                  </label>
              </div>
              
              <div class="block">
                  <label class="small"><span class="full">Data de Nascimento <em class="form-req">*</em>  </span>
                      <input type="text" name="dtNascimento" value="{DTNASCIMENTO}" class="data size80" placeholder="dd/mm/aaaa" />
                  </label>

                 <label class="small"><span class="full">Sexo <em class="form-req">*</em> </span>
                    <select id="sexo" name="sexo" class="size80">
                        <!-- BEGIN BLOCK_SEXO -->
                            <option value="{SEXO}" {SELECTED}>{SEXO}</option>
                        <!-- END BLOCK_SEXO -->    
                    </select>
                 </label>
              </div>
            </fieldset>
            <fieldset class="fieldset-top">
              <legend>Endereço</legend>

               <div class="block">
                <label class="large"><span class="full">Rua <em class="form-req">*</em> </span>
                    <input type="text" name="rua" value="{RUA}" class="size90" />
                </label>
                <label class="size20"><span class="full">Número <em class="form-req">*</em> </span>
                    <input type="text" name="numero" value="{NUMERO}" class="size50" />
                </label>
              </div>
              <div class="block">
                  <label class="small"><span class="full">Complemento </span>
                    <input type="text" name="complemento" value="{COMPLEMENTO}" class="size80" />
                  </label>                  
                  <label class="medium"><span class="full">Bairro <em class="form-req">*</em> </span>
                    <input type="text" name="bairro" value="{BAIRRO}" class="size90" />
                  </label>
                  <label class="small-1"><span class="full">CEP <em class="form-req">*</em>  </span>
                      <input type="text" name="cep" value="{CEP}" class="cep size90" placeholder="00.000-000" />
                  </label>

              </div>
              <div class="block">
                  <label class="size34"><span class="full">Cidade <em class="form-req">*</em> </span>
                     <input type="text" name="cidade" value="{CIDADE}" class="size100" />
                  </label>
                  <label class="size22"><span class="full">UF <em class="form-req">*</em> </span>
                   <select id="uf" name="uf">
                      <!-- BEGIN BLOCK_UF -->
                      <option value="{UF}" {SELECTED}>{UF}</option>
                      <!-- END BLOCK_UF -->
                   </select>
                  </label>                  
              </div>
            </fieldset>
            <fieldset class="fieldset-top">
                
                <legend>Informações Adicionais</legend>
                
                <div class="block">
                    <label class="large"><span class="full">Motivo do Inicio com a Atividade Física</span>
                       <textarea id="motivo" name="motivo" class="size98" rows="4">{MOTIVO}</textarea>
                    </label>
                                      
                    </fieldset>
            <fieldset class="fieldset-top">
                        
                <div class="colunms">
                    <div class="colunm1 size75">
                        <div class="block">
                            <label class="full"><span class="full">Observações  </span>
                                <textarea id="observacoes" name="observacoes" class="size98" rows="4">{OBSERVACOES}</textarea>
                                
                            </label>
                        </div>
                    </div><!--colunm1-->

                    <div class="colunm2 size24">
                        <fieldset>
                            <legend>Situação</legend>
                            <div class="block">
                                <ul class="form-list-radio size80">
                                    <!-- BEGIN BLOCK_CHECKED -->
                                        <li><input name="situacao" type="radio" checked="checked" value="Ativo" />
                                            <em class="form-rdo"> Ativo</em></li>
                                        <li><input name="situacao" type="radio" value="Inativo" />
                                            <em class="form-rdo"> Inativo</em></li>                                        
                                    <!-- END BLOCK_CHECKED -->    
                                    <!-- BEGIN BLOCK_UNCHECKED -->
                                        <li><input name="situacao" type="radio" value="Ativo" />
                                            <em class="form-rdo"> Ativo</em></li>                                    
                                        <li><input name="situacao" type="radio" checked="checked" value="Inativo" />
                                            <em class="form-rdo"> Inativo</em></li>
                                    <!-- END BLOCK_UNCHECKED -->   
                                </ul>
                            </div>
                        </fieldset>
                    </div><!-- colunm2-->
                </div><!-- colunm-->

            </fieldset>
            <div class="boxButtons right">
                <input type="button" name="Cancelar" class="form-buttom-gray " value="Cancelar"  onclick="javascript:history.go(-1);" />
                <input type="submit" name="Salvar" class="form-buttom-green " value="Salvar" />
            </div><!--- boxButtons --->
        </div><!--- field_inline --->
    </form>

</div>
        